• 제목/요약/키워드: Meaning of Anxiety

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죽음불안과 삶의 의미가 조손가정 조부모의 신체화에 미치는 영향 (Effects of Death Anxiety and Meaning of Life on Somatization of Grandparent Raising Grandchildren)

  • 김세영
    • 대한간호학회지
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    • 제45권2호
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    • pp.262-270
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    • 2015
  • Purpose: This study was conducted in order to examine the effects of death anxiety and meaning of life on somatization of grandparents raising grandchildren. Methods: A convenience sample of 92 elderly grandparents raising grandchildren was recruited. The study instrument for death anxiety was the 5-point 15 items scale designed by Templer and translated by Ko, Choi, & Lee and for meaning of life, the 7-point 10-items scale by Steger, Frazier, Oishi & Kaler and translated by Won, Kim & Kwon. For somatization, the 5-point 12 items scale designed by Derogatis and translated by Kim, Kim & Won was used. Collected data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, Pearson Correlation and regression using the SPSS 21.0 program. Results: Average scores were 3.55 for death anxiety, 3.43 for meaning of life, and 2.74 for somatization. Death anxiety had the highest positive correlation with somatization. Meaning of life was negatively correlated with death anxiety and somatization. Death anxiety and health status were shown to influence somatization but meaning of life was not shown to influence somatization. Conclusion: The research results indicate that death anxiety and health status influence somatization in grandparents raising grandchildren. These results also provide basic information on the importance of nursing interventions in which the variables influencing somatization in grandparents raising grandchildren are considered.

노인의 죽음불안에 관한 연구 (A Study on Death Anxiety of the Elderly)

  • 고길란;이영숙
    • 한국생활과학회지
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    • 제17권4호
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    • pp.639-648
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    • 2008
  • This study is to examine the meaning of death, the level of death anxiety, and the aspect of death anxiety that the aged have. For this, a quantitative research subjecting 532 of the aged living in local area, Jeollabuk-do was carried out. And among those 532 questionnaires, 10 were subjected for depth interview. The following is a summary of the result from this study. First, the meaning of death for the aged is classified into three classes as positive, neutral and negative meaning. Among these, there were far greater numbers of the aged who put neutral or negative meanings on their death than the positive one. Second, death anxiety of the aged are divided into three factors: 'annihilation anxiety', 'process anxiety', and 'afterdeath anxiety'. The factor that involves death anxiety the most was process anxiety, then afterdeath anxiety, and annihilation anxiety, in the order. Third, as a result of classifying the feature of death anxiety in the aged into the symptoms of death anxiety and the motive of recognizing death anxiety. Death anxiety is classified into the people with symptoms and those without symptoms, and those with certain symptoms are classified into the physical symptoms and the mental symptoms. The motive of recognizing death anxiety appeared when the individual is aged, experiences the death of other people, suffers physical pains, and when there is a mental loneliness.

죽음준비교육 프로그램이 성인의 죽음 불안, 영적 안녕 및 삶의 의미에 미치는 효과 (The Effects of a Death Preparing Education Program on Death Anxiety, Spiritual Well-being, and Meaning of Life in Adults)

  • 윤매옥
    • 지역사회간호학회지
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    • 제20권4호
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    • pp.513-521
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    • 2009
  • Purpose: The purpose of this study was to analysis the effect of death preparing education on death anxiety, spiritual well-being and meaning of life in adults. Methods: This study adapted the one group pre-posttest design. Data collection and intervention were performed from January 19 to 25, 2009. The participants were 30 adults (aged 20 or older) from Jeonju City. The death preparing education program consisted of five steps. Data were analyzed through paired t-test with SPSS/WIN 12.0 program. Results: There were significant differences in death anxiety, spiritual well-being and meaning of life between before and after the death preparing education program. Conclusion: The death preparing education program for adults was confirmed to be an effective intervention to lower death anxiety and to improve spiritual well-being and the meaning of life. Therefore, I look forward to broad application of this program to adults.

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중환자실 간호사의 죽음의미, 죽음불안, 죽음관여도 및 생명존중의지에 관한 연구 (A Study of Intensive Care Unit Nurses' Understanding of the Meaning of Death, Death Anxiety, Death Concern and Respect for Life)

  • 강정화;한숙정
    • Journal of Hospice and Palliative Care
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    • 제16권2호
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    • pp.80-89
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    • 2013
  • 목적: 본 연구는 중환자실 간호사의 죽음의미, 죽음불안, 죽음관여도 및 생명존중의지에 대해 조사하여 중환자실 간호사의 죽음에 대한 올바른 인식확립을 위한 교육프로그램 개발을 위한 기초를 마련하고자 실시한 서술적 조사연구이다. 방법: 수도권 소재 10개 종합병원 중환자실 근무 간호사 중 연구 목적을 이해하고 참여에 서면동의한 자를 대상으로 2009년 11월부터 2010년 2월까지 3개월간 자료를 수집하여 최종 230부를 분석에 사용하였다. 본 연구에서 사용한 도구는 Inumiya(2002)가 개발한 사생관척도 중 죽음의미, 죽음불안, 죽음관여도, 생명존중의 4개요인 총 67문항으로 구성되었다. 자료 분석은 SPSS WIN 12.0 프로그램을 이용하여 서술통계, ANOVA, Pearson's 상관계수를 확인하였다. 결과: 대상자의 죽음의미 이해 정도는 7점 만점에 평균 4.27점이었고, 죽음의 긍정적 의미(평균 4.18점)보다 부정적 의미(평균 4.38점)에 대한 이해가 더 높았다. 죽음불안은 평균 4.43점, 죽음관여도는 평균 4.12점, 생명존중의지는 평균 4.18점이었다. 죽음의미는 죽음불안, 죽음관여도와 부적 상관관계를 보였고, 죽음의 긍정적 의미와 부정적 의미, 생명존중의지와 정적 상관관계를 보였다. 죽음불안은 죽음관여도와 정적 상관관계를 보였고, 생명존중의지와 부적 상관관계를 보였다. 죽음관여도는 생명존중의지와 부적 상관관계를 보였다. 결론: 본 연구결과 중환자실 신규간호사는 경력간호사에 비해 죽음의미 이해 정도가 낮고, 죽음불안과 죽음관여도가 높으며 생명존중의지가 낮으므로, 죽음에 대한 자신의 견해를 정립하여 임종환자 및 가족을 간호하는 역할수행에 도움을 줄 수 있는 교육프로그램 개발이 필요하다고 생각된다.

죽음준비교육 프로그램이 간호학생의 생의 의미, 죽음 불안 및 임종간호 태도에 미치는 영향 (Influence of the Death Education Program on Meaning in Life, Death Anxiety and Attitude Toward Nursing Care of the Dying Patients among Nursing Students)

  • 신은주
    • 동의신경정신과학회지
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    • 제22권3호
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    • pp.65-74
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    • 2011
  • Objectives : This study aims to examine the effects of death education program on meaning in life, death anxiety and attitude toward nursing care of the dying patients among nursing students. Methods : Subjects were 155 nursing students of the K college. Before and after the intervention, students responded a questionnaire developed to measure meaning in life, death anxiety and attitude toward nursing care of the dying patients. To analyse the data, Cronbach's ${\alpha}$, t-test, and paired t-test were used with an SPSS 12.0 program. Results : 1. Meaning in life and attitude toward nursing care of the dying patients levels significantly increased, death anxiety levels significantly decreased. 2. Meaning in life levels increased significantly in the 20-24 age group, female, first grade, no religion, no death experience of relatives. 3. Death anxiety levels decreased significantly in the 20-24 age group, female, no religion, no death experience of relatives, but increased significantly in a buddhist group. 4. Attitude toward nursing care of the dying patients levels increased significantly in the 20-24 age group, female, first grade, won buddhist, no death experience of relatives. Conclusions : This study, through the above result, shows that the death education program can be an effective nursing education to improve meaning in life and attitude toward nursing care of the dying patients and to decrease death anxiety. These results suggest that the death education program will be helpful for recognizing the values of themselves and their current lives and improving their nursing intervention care of the dying patients.

죽음불안과 삶의 의미의 관계에서 영성의 매개 및 조절효과 검증: 베이비부머를 중심으로 (Verification of Spiritual Mediation and Control Effects in the Relationship between Death Anxiety and Meaning of Life: Focused on the Baby Boomers)

  • 길태영;류한수
    • 한국콘텐츠학회논문지
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    • 제18권7호
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    • pp.291-301
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    • 2018
  • 본 연구의 목적은 베이비부머의 죽음불안과 삶의 의미의 인과관계에서 이들 간 영성의 매개효과와 조절효과를 검증하는 것이다. 분석을 위한 연구 자료는 A시에 거주하는 1955년부터 1963년까지 출생한 베이비 부머를 대상으로 수집되었으며, 최종 분석에 총 500명의 자료를 사용하였다. 분석방법은 SPSS 21.0을 이용하여 일반적 특성을 알아보기 위한 기술통계분석, 변인 간 상관관계를 알아보기 위한 상관관계분석, 각 변인 간 가설검증을 위한 매개회귀분석, 영성의 조절효과를 알아보기 위해 위계적 회귀분석을 실시하였다. 분석결과는 다음과 같다. 첫째, 죽음불안이 삶의 의미에 유의미한 영향을 미치는 것으로 나타났다. 둘째, 죽음불안과 삶의 의미의 관계에서 영성의 매개효과가 입증되었으며, 조절효과 분석을 통해 죽음불안과 삶의 의미의 관계에서 영성의 조절효과가 유의하게 나타났다. 이러한 결과 베이비부머의 죽음불안 수준에 따라 영성을 강화시킴으로써 삶의 의미를 더욱 높일 수 있음을 나타내는 것으로, 이들의 삶의 의미에 영향을 미치는 죽음불안을 감소 또는 해소하고, 영성을 강화할 수 있는 방안을 모색하였다.

중년여성의 긍정적 사고, 지각된 건강상태와 노화불안이 삶의 의미에 미치는 영향 (Predictive Factors of Positive Thinking, Perceived Health Status and Aging Anxiety on the Meaning of Life in Middle-aged Women)

  • 김자숙;김수현
    • 산업융합연구
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    • 제22권8호
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    • pp.51-61
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    • 2024
  • 본 연구의 목적은 중년여성의 긍정적 사고, 지각된 건강상태, 노화불안과 삶의 의미 정도를 파악하고 변수 간의 관계를 규명하며 삶의 의미에 미치는 예측요인을 분석하기 위한 서술적 조사연구이다. 자료수집은 2022년 9월 10일부터 2023년 2월 28일까지 이루어졌으며 J도와 G광역시 중년여성 130명을 대상으로 하였다. 자료분석은 SPSS WIN 26.0 version을 이용하여 빈도, 백분율, 평균 및 표준편차, independent t-test, one-way ANOVA, scheffe' test, Person's correlation, 단계적 회귀분석으로 분석하였다. 본 연구결과 긍정적 사고와 지각된 건강상태(r=.43, p<.001), 긍정적 사고와 삶의 의미(r=.54, p<.001), 지각된 상태와 삶의 의미(r=.31, p<.001)는 통계적으로 유의하게 양의 상관관계를 보였다. 긍정적 사고와 노화불안(r=-.20, p=.021), 지각된 상태와 노화불안(r=-.46, p<.001)은 통계적으로 유의한 음의 상관관계를 보였다. 노화불안과 삶의 의미(r=-.10, p=.281)는 통계적으로 유의하지 않았다. 중년여성의 긍정적 사고(𝛽=.52, p<.001)와 월경상태(𝛽=-.22, p=.003)는 삶의 의미(F=32.49, p<.001)를 32.8% 설명하였다. 본 연구결과를 바탕으로 중년여성의 삶의 의미를 높이기 위해 중년여성의 긍정적 사고를 고취하기 위한 다양한 중재 프로그램 개발이 필요한 것으로 사료된다.

어혈(瘀血)로 인한 정충(怔忡), 경계(驚悸)환자의 혈부축어탕(血府逐瘀湯) 치험례 (A Case Study of Patient with Jung Choong, Gyeong Gye that Improved by Hyeolbuchukyeo-tang)

  • 김윤용;조혜영;권용주;조성훈;황의완
    • 동의신경정신과학회지
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    • 제20권3호
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    • pp.249-259
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    • 2009
  • Objectives : Anxiety is a symptom that many psychiatric patients experience. And in the traditional Korean medicine, anxiety is often categorized as a Gyeong Gye(驚悸) and Jung Choong(怔忡). In this case report, we will show the effective method in treatment of anxiety. Methods : First, We treated the patient with anxiety by the differential diagnosis of blood stasis(瘀血) that is summarized as stasis of blood, pollutant of blood and external blood of vessel. And we gave him Hyeolbuchukyeo-tang(血府逐瘀湯) whose effect is to eliminate blood stasis. And Second, we treated the patient with anxiety in the viewpoint of analytic psychology that claims anxiety has a meaning that makes patient be aware of the problem of himself. Results : The patient's symptom improved significantly. And this patient also can insight himself via the symptom of anxiety. It also help the patient improve. Conclusions : In the treatment of anxiety, the approach by the differential diagnosis of blood stasis(瘀血) can be helpful to improve patient's symptom. And treatment should include the insight of patent by the meaning of anxiety.

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중.노년의 죽음불안과 죽음의 개인적 의미가 품위 있는 죽음 태도에 미치는 영향 : 가족의사소통의 매개역할 검증 (The Impact of Death Anxiety and Personal Meanings of Death on the Attitude of Dignified Death among Korean Mid-life and the Elderly : Mediating Effect of Family Communication Process)

  • 조계화;이현지
    • 성인간호학회지
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    • 제23권5호
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    • pp.482-493
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    • 2011
  • Purpose: This study was conducted to compare and identify the mediating effect of family communication in the impact of death anxiety and personal meanings of death on the attitude of dignified death near the end-of-life among Korean mid-life and old people. Methods: A cross-sectional study was conducted with 287 mid-life and old people in Seoul, Busan, and Daegu City. Data were collected through self-report questionnaires which were standardized instruments from November 2010 to March 2011. Data were analyzed by using SPSS/WIN 14. Results: The results of the study indicated that there were statistically significant differences in level of death anxiety, personal meaning of death, and the dignified death between mid-age and old-age people. In addition, family communication had full mediating effects among the mid-age, while it had partial mediating effects among the old-age in the relationships between death anxiety, personal meaning of death, and the attitude of dignified death. Conclusion: Based on the findings of the study, implications for the intervention of the dignified death and preferences for care near the end-of-life among mid-life and old people and recommendations of further study were provided.

화상환자의 외상후 스트레스 장애 증상에 대한 영향 요인 : 울분, 우울, 삶의 의미 (Factors Influencing Posttraumatic Stress Disorder Symptoms in Burn Injured Patients : Embitterment, Depression and Meaning in Life)

  • 황지현;이병철;채정호
    • 대한불안의학회지
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    • 제15권1호
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    • pp.29-34
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    • 2019
  • Objective : To determine predictors of posttraumatic stress disorder (PTSD) symptoms in burn injured patients and evaluate factors for identifying high risk group of PTSD. Methods : This study examined sixty one patients aged in the range of 19-65 years with burn injuries. All subjects completed self-assessment inventories about PTSD (The PTSD Check List for DSM-5. PCL-5), depression (Patient Health Questionnaire-9, PHQ-9), embitterment (Posttraumatic embitterment disorder self-rating scale, PTED scale) and meaning of life (Meaning in Life Questionnaire, MLQ). Stepwise multiple regression and ROC curve analysis were the tools used for analysis. Results : The results revealed higher depression, embitterment and lower presence of meaning in life predicted severe PTSD symptoms. ROC analysis indicated PTED scale and PHQ-9 were useful for discriminating high risk group of PTSD. Conclusion : The present study established that the need to consider embitterment, depression and meaning of life for alleviation and prevention of PTSD symptoms in burn patients.